Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis

Neogi, Sushanto; Banerjee, Arka; Panda, Shasanka Shekhar; Ratan, Simmi K.; Narang, Raghav

doi:10.1016/j.jpedsurg.2021.07.005

Cited by 17 publications

(6 citation statements)

References 62 publications

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“…At present, laparoscopic surgery is widely utilized in the treatment of complex appendicitis, including the drainage of peri-appendiceal abscesses. [ 17 , 18 ] However, due to the adhesion and inflammatory changes around the abscess, laparoscopic dissection becomes a challenging and risky process, and the surgical skills and experiences are particularly important. Although there is controversy over the placement of drainage tubes, there is a tendency to use less drains in abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Dong,

Qiu,

et al. 2024

Medicine

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Rationale: Ileal perforation caused by the insertion of a drainage tube is a rare complication. Hence, the utilization of surgical drains in abdominal surgery remains controversial. At present, there is a trend to reduce the utilization of drains in abdominal surgery, although certain situations may necessitate their application. Patient concerns: A 25-year-old Chinese woman presented with a history of right lower abdominal pain persisting for 10 days. Imaging examinations, including abdominal computed tomography and ultrasound, identified low-density lesions measuring 10 × 8 × 8cm3 in the right lower abdomen, which are consistent with perforated appendicitis complicated by a peri-appendiceal abscess. A laparoscopic appendectomy was carried out. On the 5th postoperative day, the drainage fluid changed to a grass-green color (80mL). Imaging with retrograde contrast through the drainage tube revealed that the 26 Fr silicon rubber drainage tube tip was positioned 50cm away from the ileocecal junction within the ileum. Both the ileal and ileocecal regions appeared well-developed. Intervention and outcomes: Oral intake was suspended, and the patient received antacids, somatostatin, antibiotics, and total parenteral nutrition. On the 19th postoperative day, a follow-up imaging procedure using retrograde contrast through the drainage tube indicated that the tube tip was sealed. The treatment concluded on day 33 postoperatively, and the patient was discharged. Discussion and conclusion: Ileal perforation due to an abdominal drainage tube following laparoscopic appendectomy constitutes a rare but serious complication. However, due to the adhesion and inflammatory changes around the abscess, laparoscopic dissection becomes a challenging and risky process, and the surgical skills and experiences are particularly important. Removing the abdominal drainage tube promptly based on the characteristics of the drainage fluid is recommended. The findings provide valuable insights for surgeons navigating similar challenges.

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Section: Discussionmentioning

confidence: 99%

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Dong,

Qiu,

et al. 2024

Medicine

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“…A systemic review and meta-analysis by Neogi et al on "laparoscopic versus open appendectomy for complicated appendicitis in children demonstrated that laparoscopic appendectomy was associated with lower rates of surgical site infection rates and comparable intra-abdominal abscess formation rates. The length of hospital stay and analgesia usage was also reduced" [39].…”

Section: Laparoscopic Appendectomy For Complicated Appendicitis In Ch...mentioning

confidence: 99%

Laparoscopic Appendectomy in Complicated Appendicitis: A Narrative Review

Kumar H. R.,

Soma M.

2023

AJMAH

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The treatment of complicated appendicitis has moved from conservative treatment to immediate appendectomy and laparoscopic appendectomy has become the treatment of choice for this condition. Laparoscopic appendectomy is safe and associated with reduced morbidity, but it was initially associated with increased intra-abdominal abscess rates. With time there seems to be a reduction in this complication rate and hence we have conducted this review article to look at the use of laparoscopic appendectomy in the management of complicated appendicitis, with regards to complications and morbidity.

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“…Considering stage of inflammation, appendicitis can be classified as noncomplicated and complicated. Complicated appendicitis are defined as gangrenous or perforated appendicitis, suppurative appendicitis or appendicitis with an abscess formation, periappendicular mass or fecal peritonitis [3]. In children, complicated appendicitis is relatively common, and the rate of perforated appendicitis varies with age, the presence of obesity, socioeconomic status, and healthcare access.…”

Section: Introductionmentioning

confidence: 99%

“…Although laparoscopic appendectomy gained popularity among many surgeons the advantage of laparoscopic appendectomy is still the subject of research [3].…”

Section: Introductionmentioning

confidence: 99%

Postoperative recovery assessment after appendectomy in children - laparoscopic versus open technique

et al. 2022

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Introduction/Objective. Surgery is a ?gold standard? in treating the acute appendicitis in pediatric patients. The aim of the study was to determine the effect of open and laparoscopic appendectomy on postoperative recovery, return to everyday activities and quality of life in patients operated for the acute appendicitis. Methods. This prospective study was performed at the Institute for Children and Youth Healthcare of Vojvodina, during a period of ten months. This study was approved by Ethic committee of the Institute. All patients treated for the acute appendicitis by surgery were divided into two basic groups: open or laparoscopic appendectomy and into three subgroups, depending on the degree of appendicitis. We analyzed length of surgery, oral intake, establishing peristalsis, hospital stay, return to everyday activities and quality of life after surgery. Results. Laparoscopic technique was performed in 60 patients (48%), and the open method in 65 (52%). In laparoscopically treated patients (66.7%), peristalsis occurred earlier (p < 0.001), length of hospital stay was shorter (5.95 ? 1.21 days) (Z = -3.054; p = 0.002), the total score of daily activities showed a statistically significantly better score (Z = -7.667; p = 0.000), and they achieved a high level of quality of life significantly earlier (t = 2.773; p = 0.007). Conclusion. The advantage of minimally invasive surgery in the treatment of acute appendicitis in children is reflected in the faster re-establishment of every day functioning, faster recovery, and a good quality of life.

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Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis

Cited by 17 publications

References 62 publications

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Laparoscopic Appendectomy in Complicated Appendicitis: A Narrative Review

Postoperative recovery assessment after appendectomy in children - laparoscopic versus open technique

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